1. Introduction
Dental implants are a popular alternative to dentures. Not all dentists or dental surgeons are proficient in performing the surgical procedure. Implant dentistry has become a big business in the United States. It is a burgeoning market. Dental implants are small titanium rods. Like anything that has the possibility of dramatically changing your health or your appearance, it is wise to take into consideration both the positives and negatives before making the decision to proceed with dental implants. Dental implants have been used to replace missing teeth for more than usually as a permanent it prevents the load associated with extra plastic in the mouth, whereas dental bridges often rely on teeth adjacent to the missing tooth. A three-unit bridge to replace a tooth can cost several hundred dollars and needs to be replaced every years, costing more in the long term. The cost of dental implants costs significantly more in the short term, now more to the same as a bridge when taking into consideration the cost of a bridge and replacement of that bridge every years if a dental implant is still functional. Even OCO dental implants, more costly than FDA approved implants, in the long run are usually more affordable than placing a bridge on each missing tooth.
1.1 What are dental implants?
Endosteal and Plate Form are the two most common types of dental implants. Endosteal implants are placed into the jaw bone and are considered to be the root of the artificial tooth. This type of implant is used for patients with removable dentures or bridges. Plate form implants are used when the jaw bone is too narrow for bone grafting. These implants are placed into the jaw bone like endosteal implants, but rest above the jaw line. Often these types of implants are used on patients whose bone is very narrow, preventing them from having the more traditional endosteal implant.
Dental implants are a revolutionary advancement in tooth replacement. True to their name, dental implants are artificial tooth roots that are placed into the jaw bone to hold a replacement tooth. They are a great alternative to dentures or partials because they do not rest on the gum line, causing less of a chance that the bone will absorb and deteriorate. Dental implants are a great option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. These implants are actually more tooth saving than traditional crowns and bridges, since crowns and bridges are connected to the other teeth, and may need to be replaced at the same time that the connected tooth needs work in the future. Dental implants can also serve as support for a dental bridge, eliminating the need for a removable partial denture. If you would like to restore a natural looking smile, dental implants would be the ideal solution. Since they look and feel like real teeth, dental implants have been successful at boosting a patient’s self-esteem.
1.2 Benefits of dental implants
Prevention of further bone loss When a tooth is lost, the area of bone that once held the root in place begins to deteriorate. This is because there is no longer a root stimulating that bone area, so it weakens and provides no use. This, in turn, can affect the adjacent teeth, so tooth migration is a common occurrence when there is tooth loss. The adjacent teeth move in to try and fill the gap left by the lost tooth, which affects the ability to chew food and the ability to have a satisfactory bite. Step in dental implant, this is the only treatment on the market that replaces the root of the tooth, and because of this, it is the only treatment that can prevent further bone loss in the area of the lost tooth. The implant will actually integrate with the bone of the jaw and over time strengthen the area. This will stop any tooth migration occurring and maintain the ability to chew food and have a good bite. Any other form of treatment simply will not prevent further loss of bone.
When looking at the success of dental implants, it’s important to take into account the reliability and longevity of the treatment by taking a long-term perspective. The initial quote that you see for the treatment may be quite hefty at first, but when you take into account the longevity of the treatment, it works out to be more of a cost-effective solution. An implant will last a lot longer than a denture or a bridge. When these more conventional treatments are used, they can result in tooth or teeth needing to be extracted due to the treatment being a temporary measure and sometimes further decay of the tooth/teeth in question. It is a well-known fact that if an implant is going to fail, it will fail in the first few months of placement, and because of this, an implant has a very high success rate of 95%.
Dental implants are designed to be a long-lasting solution for tooth loss and are often considered the next best thing to your natural tooth. By this stage, after reading about what a dental implant is, many would be convinced that it is the solution to their tooth loss but still may be a bit skeptical. This next section aims to address the reasons why you should choose dental implants.
1.3 Why choose dental implants in Orange County?
There are a number of factors to consider in making a decision like tooth replacement. Dental implants in Orange County can give you back your smile, and help improve your appearance, speech, and self-esteem. The cost of products and services in and around Orange County can often be quite high. This is why going for dental implants in Orange County is often more expensive than in other areas. The high cost reflects the quality of life and the cost of living in this area. In the same way, you might be hesitant to buy a discount parachute, perhaps you should think twice before bargain shopping for dental implants. Orange County is known for the high quality of life it affords residents, and dental implants are no exception. Like parachutes, dental implants vary in brand and quality. Opting for an experienced professional using top-quality products may be the difference between a successful procedure and a failed one. It’s no surprise that less qualified dentists are likely to be found cutting costs by using low-quality products and equipment. Whether it be low-quality implants or cross-contaminating reusable parts, such negligence could lead to a serious infection and chronic pain, as well as double the cost to fix the problem. The risk simply isn’t worth it.
2. The Dental Implant Process
Once the implant is stable and the site is fully healed, the patient will undergo a second procedure which involves uncovering the implant with a small incision, placing a healing abutment, and then re-closing the site. After a short healing period allowing the tissue to heal around the abutment, an impression is taken to make a model for the final crown.
The first stage of the procedure is the implant placement which is done by a specialist oral surgeon. At this stage, we determine if the patient has enough bone to support the implant because bone is needed for long-term stability. If the patient has lost too much bone, a bone graft may be done. A small hole is drilled into the jaw where the implant will be placed. The implant will serve as the new “root” for the crown that will replace the missing tooth. A titanium implant is the preferred choice. Once the hole is made, there is a three to six-month waiting period for the bone to grow around the implant, essentially holding it in place—it is a process known as osseointegration.
During the initial consultation and assessment, your dentist will thoroughly examine your dental and medical records. This includes X-rays and 3D images, in order to avoid any possible complications. This may include getting work done on a wax model. During this consultation, your dentist will address the patient’s specific needs and preferences. An accurate model of the patient’s mouth will also be made. This will help determine the best possible solution for the patient. Typically, the actual procedure generally starts several weeks after the initial consultation. This allows time for the patient to weigh their options on the best possible solution. During this period, the patient may decide whether or not to opt for a different procedure. Though there are various options to getting a tooth replaced, an implant is generally considered the best option because it resembles a natural tooth.
2.1 Initial consultation and assessment
The CT scan is an important part of the dental implant evaluation. An edentulous (without teeth) scan is preferred because it provides information about where vital structures are located in relation to where the teeth once were. This will help determine the quality and quantity of bone left and whether it is sufficient for an implant to be placed, and what size. Vital structures such as the nerve canal in lower jaw and the sinuses in the upper jaw are also taken into account. A regular dental panoramic x-ray can give some information, but the quality of a CT scan is much better, and it provides more information. A conventional medical MRI is not acceptable for dental planning, but can give some information for very complex cases.
Some dental practices have their own CT scanner, where another may have a relationship with a local radiology center. This will vary depending on the dentist and the dental implant case. Expect this first appointment to take between 30 minutes to 1.5 hours. If you are having a great deal of edentulism (no teeth), there will be more information to collect and a scan may need to be sent to other specialists to better plan your case. Make sure that the dentist is very thorough and takes the time to explain everything to you. This is the time to establish a treatment plan, so be very wary of a quick-fix situation.
Be sure to tell your dentist all the medications that you are taking, and any known allergies. If you are a new patient, your dentist may refer you to another specialist who has a higher level of experience with your specific condition. A good referral can help you get the results you desire. Gather information and get the specifics about the treatment needs that you will require so that you can make a well-informed decision. You may also want to ask your dentist about his/her familiarity with the latest research in dental implant treatment and whether he/she is a member of any professional organization related to implant dentistry.
Once you have scheduled an appointment for a dental implant, it is very important to be well-prepared for the visit. The dentist or oral surgeon will start by taking a thorough medical and dental history and will then perform a comprehensive clinical examination. Be sure to provide your full medical and dental history, and prepare a list of questions to ask about the dental implant procedure and your specific condition.
2.2 Implant placement surgery
This is a significant stage in the tooth replacement process, as the dentist will have to open your gum to expose the bone, using the results from the recent x-rays to determine the optimal location for the implant. Precise placement of the implant will ensure the longevity and success of the restoration. Using a series of drills, the dentist will then cut a space into the bone for the implant, careful to not damage any other teeth or structures in the process. This sounds quite invasive, but if anything it’s no more invasive than a simple tooth extraction, and is usually done under local anaesthetic. After the first cut in the bone has been made, the dentist will then widen the hole using a slightly larger drill. This will be repeated until a space has been created that is large enough to accommodate the implant. Finally, the implant is placed into this socket, and the opening in the gum is closed with a stitch, or covered with a temporary filling. A small amount of tissue may be placed over the implant site to protect it, and x-rays of the implant in place will be taken to ensure that it is in the best possible location.
2.3 Healing and osseointegration
After the dental implant has been placed, the bone in the jaw must heal for osseointegration to occur. This process takes from 3 to 6 months depending on the individual. The success of this step is based on no movement of the implant, which is caused by contamination of the implant, micromovement at the implant site, or insufficient bone availability at the surgical site. If the patient practices good oral hygiene and has enough bone at the site, the implant should last for many years. Osseointegrated implants must meet the same expectations for care as root-form natural teeth. Step one in caring for the dental implant is to floss. A floss threader may be useful in cleaning food and plaque from between the teeth. Then, the dental implant and abutment can be brushed using a soft bristle toothbrush. Any toothpaste can be used. Finally, the mouth should be rinsed with an antibacterial mouthwash. With proper care, dental implants can last a lifetime, rivaling conventional teeth. The jaw heals by growing bone up to and into the implant surface, effectively adhering the implant to the bone. Once this has occurred, a mechanical testing of the implant may be done to ensure that the implant is stable. This provides a good base on which to build the replacement tooth. Step two in testing the stability of an implant involves a small impression taken within the implant and a corresponding metal abutment which is placed into the implant. If testing shows that the implant is not stable, the situation can often be salvaged through bone grafting at the implant site. At other times, it is best to remove the failing implant, allow the site to heal, and place a new implant at a later time.
2.4 Placement of the abutment and crown
After the implant has successfully integrated with the surrounding bone, the patient will be scheduled to start the second phase of treatment. A post will need to be attached to the implant, this is called a post or abutment. If any of the above-noted problems are discovered, the dentist will have them treated before the implant surgery. Implant surgery can be performed as an in-office procedure under local anesthesia. Your dentist will provide you with instructions on eating and drinking, and may prescribe antibiotics or an antimicrobial rinse to aid in preventing infection. During this time, your dentist is forming a new tooth to replace the missing one. This custom-made crown will be placed on the abutment to provide the patient with the best possible natural-looking smile. If time or esthetic demands it, a temporary crown can be placed on the abutment so the patient will not be without a tooth. During the first visit, an x-ray and impression will be taken of the area, and the dentist will examine the area to ensure there is no longer any sign of infection. This impression will allow the dental laboratory to construct a crown that will sit on the abutment. A return visit will then be scheduled to attach the abutment and crown. This is a minor procedure where the dentist will simply attach the abutment to the implant and then secure the crown to the abutment. A small screw secures the abutment to the implant. Both the abutment and crown are made with the same materials used in natural tooth restorations, usually a composite of porcelain and some form of metal. The crown is cemented in place and the procedure is complete.
3. Aftercare and Maintenance
The most common complications with dental implants are failure to osseointegrate, loss or looseness of the implant, and infection of the implant site and surrounding areas. Failure to osseointegrate can be caused by a number of factors including a lack of adequate blood supply to the implant site, inadequate preparation of the receiving site, overpreparation of the site, damaged implant threads, or overheating of the bone upon insertion. Pre-existing damage or infection of the site can also be a cause. Anything that increases the movement or stress on the implant will increase the risk of it coming loose or becoming lost. Infection can be caused by bacteria during implantation or with later entry of bacteria to the surrounding tissues. Any of these problems can cause pain, discomfort, further damage, and/or loss of the implant. If you encounter any of these problems, immediately consult your dentist to best determine the cause and the appropriate treatment.
It is important for the long-term maintenance of your dental implants that you regularly visit your general dentist to ensure that your oral hygiene practices are effective and to detect any potential problems. A periodic x-ray of the dental implants is usually recommended to monitor the condition of the surrounding bone. Generally, a dental check-up including cleaning the teeth and implants every 3-6 months is advised.
Just like your natural teeth, it is important to keep the crowns and the surrounding gum and bone clean and free of plaque. This is usually achieved with regular brushing and flossing. Although dental implants are not affected by tooth decay, they can still be affected by gum disease and bone loss, so it is important that you have the right cleaning technique and use the right products to ensure thorough cleaning without causing damage to the teeth.
This section states that while implants are a great way to replace missing teeth, there may be some factors that could affect the longevity of your dental implants if not properly maintained. It advises certain oral hygiene practices and regular check-ups with your general dentist to help monitor the implant’s condition. It also advises what to do in the event of any pain, discomfort, or complications and also the preventive measures to avoid such problems. Finally, it gives advice on long-term care for dental implants.
3.1 Proper oral hygiene practices
It is critical that a person with dental implants practice proper oral hygiene. This helps ensure the longevity of dental implants. Plaque has to be removed diligently on a daily basis; otherwise, it can turn into calculus, a hardened form of plaque, and can be a cause of inflammation of the gum tissue and the progression of periodontal disease. If the bone that supports the implant is damaged due to this disease, the implants can loosen and fail. It is also important to use an implant-specific brush. An interdental brush is a narrow brush that is used to clean between teeth and it comes in a variety of sizes to fit the narrow spaces between the implant and the adjacent tooth. It is an imperative tool for implant hygiene because it does not damage the gums and bone around the implant compared to a harder interdental brush. Floss and other devices can cause plastic deformation of the abutment if the person is not careful with it. An annual examination by a dentist is also required by persons with implants, so maintaining dental insurance coverage is encouraged. This can help detect any early signs of gum disease or other medical conditions that may affect the health of your implant-supported teeth and the success of the dental implants.
3.2 Regular dental check-ups
Regular dental check-ups are an essential part of maintaining your dental implants and natural teeth. Dental check-ups involve a dentist examining your teeth, gums, and taking X-rays. The dentist will be able to see if there are any complications with an implant or a tooth. Complications can be silent and not clinically evident to the patient. X-rays can show any mid or root infection around a tooth or implant. A small cavity can be very detrimental to an implant. With too much destruction, the implant may fail. If there is a complication, a treatment plan may be suggested. It is always best to be proactive rather than reactive when dealing with complications. Remember, prevention is better than cure. It is also possible that when you see the dentist, he may refer you to a hygienist to have a tooth or implant professionally cleaned. High standards of oral hygiene and regular cleaning will ensure the longevity of dental implants.
3.3 Potential complications and how to address them
If an implant becomes loose, your dentist can attempt to salvage it by removing the implant, cleaning the area of any debris, and grafting bone into the site. After the surgeon has confirmed that sufficient bone has grown around the new graft, a new implant can be placed. Implant infections are generally treated with the removal of the implant and the prescription of antibiotics. The implant is replaced once the infection has been resolved. In general, the long-term success rates for salvaging infected and non-infected implants are 67% – 76.5% and 84% – 91% respectively. Failed implants must be removed if they cannot be successfully restored. In any case, the removal of a failed implant will result in an extended waiting period before a new implant can be placed. This will allow time for the natural healing of the bone. The extended waiting period is six months to one year for the lower jaw and 9 months to 16 months for the upper jaw. It should also be noted that the removal of a failed implant will result in further bone loss. The patient may have to undergo an additional bone grafting procedure to provide enough bone to successfully place an implant in the future. Remember that these conditions are relatively rare and occur in the minority of implant patients. There is a 95% chance that an implant will last for at least 10 years.
While the success rate of dental implants is high, there may be occasional failure. The reasons for this failure are several. In general, if an implant is placed into an area of insufficient bone volume, the supporting bone may not be able to sustain the forces placed upon the implant and it may become loose. Secondary causes of implant failure include bacterial contamination during the implant placement, overheating of the surrounding bone during implant placement, and loading the implant with force too soon after placement. These conditions may lead to an implant infection.
3.4 Long-term care for dental implants
The most important factor for implant and overall oral health is to maintain optimal oral hygiene. This means that it is not only important to brush and floss, but to also clean in between the teeth with the use of floss threaders, interdental brushes and water jets. For those who lack dexterity or have challenges with using a toothbrush and floss there are a wide range of products and devices that have been designed to aid in effective plaque removal around teeth and implants. It is also important to acknowledge that certain home care products can cause damage to the implant. The long-term use of mouth rinse with a high alcohol content has the potential to weaken the bond between the implant and surrounding bone. Studies have shown that soaking a toothbrush in 0.12% chlorhexidine gluconate or using toothpaste that contains this agent helps reduce plaque levels and gingival inflammation. Although chlorhexidine is effective at reducing plaque it can lead to staining of the teeth and implant restoration. It is advised that products containing chlorhexidine should only be used for short periods unless otherwise recommended by a dental professional.
The long-term care for dental implants plays an important role in the overall success of the dental implant. A long-term study of over 3000 implants found that the 5 and 10 year survival rate of implants is over 90%. Having a systematic approach for maintaining oral health and implants will ensure the long-term success of the implant and help avoid complications.
4. Finding the Right Dental Implant Provider in Orange County
When it comes to receiving quality medical care, choosing the right provider is crucial. This also applies to selecting a dental implant provider in Orange County. While the field of dental implantology is already a specialty area of dentistry, there are different degrees of experience and expertise amongst dental implant specialists. Choosing a well-qualified and experienced dental implant specialist can give you confidence in your procedure and its outcome. To determine whether a dentist is well-qualified in dental implantology, research the dentist’s education, training, and experience. Specifically, look for a dentist who has taken many hours of postgraduate training, has education from prestigious medical institutions, and has experience in the type of procedure you may require. An additional way to separate the well-qualified dentists from the rest is by the status of membership they hold in dental implant focused organizations. An example of a valuable affiliation is a diplomate status from the American Board of Oral Implantology. Another approach to finding a well-qualified dental implant specialist is by asking whether the dentist teaches other dentists on the subject of dental implantology. Teaching engagements and leadership positions are indicative of a dentist’s stature in the field of implant dentistry. This may sound like a difficult task, but calling dental offices and inquiring this information is a simple and effective method. Considering a dental implant specialist’s experience and qualifications are essential so long as you know what to look for. Keep in mind that many dentists have varying degrees of experience, but they all must start somewhere. This doesn’t mean you should completely avoid a novice dentist. Dentists who are new to implant dentistry, but are knowledgeable, may provide a lower cost and present a great opportunity. In this case, it is essential to verify the dentist’s competence and consider the complexity of your specific dental implant needs. On the other end, there are seasoned dentists who have established themselves as leaders in the field of implant dentistry. These dentists provide the highest quality of care, but their services may come at a higher cost. Choose the type of dentist based on your personal need for the procedure and your desired price range.
4.1 Researching reputable dental implant specialists
Do keep in mind, as mentioned above a procedure is only as reliable as the medical practitioner performing it. There are a plethora of dentists in OC that perform dental implants, but only a handful that are genuine specialists, masters in the field that have passed rigorous examinations in the eyes of their colleagues. What qualifies a dentist as a specialist can sometimes be difficult to determine. What separates dentists that primarily focus on general dentistry and do the occasional dental implant to those who are true specialists, is their level of education and more recent training. Educational and training requirements can vary from licensing state to licensing state, but a good benchmark is a specialist is a dentist who has graduated from an ADA-approved post-doctoral program in prosthodontics. This essentially includes 2-3 years’ worth of rigorous training in the lab as well as didactic and clinical experience specifically with implants and other complicated dental procedures. A while a Prosthodontist is a true dental specialist when it comes to dental implants, there are numerous other specialists such as Oral Surgeons and Periodontists who are more than qualified to perform dental implants, so it is important to research their qualifications as well. These specialists should be Board Certified. Board Certification is a process where a dentist must demonstrate a deep knowledge and understanding as well as a high level of skill and proficiency in a particular specialty. Board Certification involves a written examination and/or a computer based test to assess the application of knowledge in addition to a rigorous oral examination. It is advisable to use the ADA’s Find-a-dentist website to verify whether or not a particular dentist is a specialist and/or Board Certified.
4.2 Considering experience and qualifications
Many dentists will claim to be ‘specialists’ in implantology, however this can be misleading. In Australia, there is no recognized specialty in implantology. Many ‘specialists’ come from a broad range of dental fields and attend short courses to receive training in implants. The Royal Australasian College of Dental Surgeons (RACDS) offers a number of fellowships and specialization programs for dentists looking to gain a higher level of education and training in a particular field. This is a good way to identify a true specialist, as fellowships require a 2-4 year commitment in taking advanced education and training.
The American Dental Association (ADA) offers a program in 2016 that will recognize dentists who have achieved an extra high level of training and experience in oral implantology. As the program is fairly new, not all top quality providers will be recognized, but it is advised to find a dentist who is at this level or is working towards this recognition. This will provide you with peace of mind that you are receiving treatment from one of the best in the field.
When it comes to finding a skilled dental implant provider, experience and qualifications are the most important factors. While many dentists can perform the procedure, the level of skill and experience in the field can be dramatically different. Dental implants require a high level of specialist training and continuing education. Do not be afraid to ask your dentist about their level of training and experience as it is a vital factor in the success of the procedure.
4.3 Reading patient reviews and testimonials
Many consumers say they consider a dental implant provider’s reputation for recommendations and the knowledge of friends who have had similar treatments as essential steps in identifying the right dental implant specialist. This chapter will provide guidelines for how to research and recommend dental implant providers in Orange County. An effective and efficient way to assess the reputation of a dental implant provider is through evaluating patient reviews and testimonials. Most often, these can be found on the internet. Testimonials can be found on a professional’s website; however, they are selective and there is a high chance they are biased. A site that displays reviews of many different dental implant providers, including their average costs and ratings, is Yelp. Yelp can help consumers locate the best dental implant providers based on previous patient experiences. A research study found that “online consumer reviews are significantly more trusted than descriptions that come from vendors” (Anderson 1). This adds credibility to the fact that patient reviews play a crucial role in a patient’s provider choice. Consumers need to be aware that every provider may not have an online digital footprint in the form of reviews. It is still possible to get reviews through conversation with a previous patient known to the potential consumer. The more thorough the research into the dental implant provider, the more informed the decision will be for the patient. Patient reviews can provide insights that can’t be obtained through the dental implant provider. This can include the overall atmosphere of the office, the comfort level of the patient, and whether or not they were satisfied with the procedure.
4.4 Evaluating the cost and financing options
Limiting your price range will limit your choice of provider. The more reputable specialists with a wealth of experience will generally charge more. Many people consider traveling abroad to have the procedure due to cost. While countries such as Hungary and Thailand offer much cheaper dental implant procedures, they are still only minimally regulated and pose an increased risk of complications and infection. Short-term cost benefits can often be offset by the need to have the procedure redone back in the UK. High-quality dental implants done by a reputable dental implant provider and lasting a lifetime can provide an extensive improvement in the quality of living.
A general dentist in Anaheim, Fullerton, or Orange County could charge anywhere from $1000 – $2500 for a dental implant. $1000 being very low to unrealistic, whereas a specialist periodontist may charge $3000 – $5000 per implant, and the cost could increase.
When considering the cost of dental implant work, you may want to think about taking out a loan or using a medical credit company. A credit check and a stable income will need to be considered, particularly if you’re hoping to get finance with no interest attached. Do not forget to check with your general dentist or periodontist; they sometimes have payment plans. Any reputable dental implant provider should be able to provide a range of options to suit your needs. Be sure to find out if the price of the procedure is fixed or if it can increase due to complications. Take the time to work out your total cost and ask about any promotional offers.
Price may be the main deciding factor when considering a dental implant provider. Often, people mistake the cost of the entire dental implant procedure from start to finish with the cost of a single dental implant. This can be very confusing. Some dental implant providers do not include the cost of the restoration (crown) in their price. Other costs to consider are the abutment, required for some implant systems, an initial consultation, and x-rays. Standard dental work is not without its complications, and in some cases, your dental implant procedure may require specialist work, all of which could add to the cost.
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How Long Do Dental Implants Last in Orange County? | Smile Magic Dentistry
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